Patient Forms

Patient Forms

The first visit to our office is designed to get you better acquainted with all we offer as well as introducing you to the Doctors and our caring team.  We encourage questions and always do our best to deliver quality care. 

Please take a moment prior to your scheduled appointment to complete your patient forms online to save time when you arrive at Graff & Peterson Dental LLC! This will not only streamline your experience but will prepare Dr. Graff and Dr. Peterson to meet with you and provide care. 

                                                                              Click below to access the online forms:

Online Patient Forms

If you prefer, you are welcome to download our patient forms (assuming you don't fill them out online).  We ask that you complete the following forms and bring them with you to your appointment  You do not need to print the HIPPA Privacy Act document, it is solely for your information.  Thank you for your confidence in our office, we look forward to assisting you with all your dental needs. 

                                                                             Click below to access the printable forms:

Patient Registration

HIPPA Privacy Act

HIPPA Acknowledgement

Medical History

Dental Questionnaire

Payment Options

Consent Form